LACEE A KELLER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****12

License Status

ACTIVE

Business

First Name

LACEE

Middle

Last Name

KELLER

Business Name

LACEE A KELLER

Original Issue Date

10/06/2011

Effective Date

12/16/2025

Expiration Date

03/01/2028

City

SCHAUMBURG

State

Zip

60194

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/16/2025